Insurance Collector

Be among the first 25 applicants

Connecticut Orthopaedics has been named the #1 Physician Practice in Orthopaedics in Connecticut and ranked in the Top 3 for Surgical Care and the Top 5 for Overall Physician Practices across the state by Castle Connolly. We have served patients in the greater New Haven area for over 60 years and are the largest privately‑owned orthopaedic practice in New England. Our practice includes three MRI suites, multiple acute‑care orthopaedic walk‑in centers, a surgery center in Branford, and our own physical therapy centers.

The Insurance Collector is responsible for monitoring accounts to determine the timeliness of payment/collection. Duties include resolving denials and/or correspondence, providing follow‑up communication as necessary, and re‑billing outstanding accounts. The position works closely with the CO Billing Team and Collections Supervisor.

• Monitor and resolve EDI dashboard for claim kick‑out edits
• Manage A/R through system module and reports
• Resubmit, appeal and follow‑up on unpaid/incorrectly processed claims
• Answer incoming insurance specific inquiries
• Collect on insurance carrier accounts
• Assist with process improvement to bring about greater claims resolution
• Ensure the quality, integrity, and proper work effort of assigned tasks
• Perform other tasks and related work as required
• Follow all Connecticut Orthopaedics policies and procedures including but not limited to Human Resources, administrative, and HIPAA compliance
• Perform other duties as assigned by supervisor

• Strong knowledge of insurance adjudication process
• Strong ability to communicate well with insurance companies and co‑workers
• Demonstrate initiative and ability to multi‑task while working independently
• Strong organizational skills and systems aptitude
• Solid computer skills including proficiency with Microsoft 365
• Ability to work well with peers
• Ability to problem‑solve and think proactively on how an insurance change or trend can affect insurance payments

• Education: High School Diploma or GED required;
  Associate’s Degree or higher preferred.
• Experience: Two years of experience with medical insurance collections or equivalent combination of experience and education required. EMR experience preferred. Prior knowledge of CPT/Modifiers and ICD‑9/ICD‑10 codes. Experience with insurance websites such as Availity and knowledge of MS 365 is a plus.
• License: No license or certification required.

Entry level

Full‑time

• Accounting / Auditing and Finance
• Industries:
  Medical Practices